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Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder

Differential Diagnosis Algorithm ... 4 tests for the ... Resisted shoulder extension ... after cross-arm test ... #MSK

Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →

Test (Upper-Limb ... Neuropathy Elbow extension ... forearm supination → wrist ... dorsiflexion/finger extension ... physicalexam #sports #msk

Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →

Test (Upper-Limb ... forearm supination → wrist ... dorsiflexion/finger extension ... rotation → elbow extension ... physicalexam #sports #msk

Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
- Patient with knee in extension. Push posterior on

Clarke's Test (Patellar ... Grind Test) ... Patient with knee in extension ... of patella then ask ... Patellofemoral #msk

Mytomes - Segmental Innervation of Muscles
Shoulder Abduction C5 Axillary Nerve
Shoulder Adduction C6-C8 Thoracodorsal Nerve
Elbow Flexion C5 Musculocutaneous Nerve
Elbow Extension C7 Radial Nerve
Wrist Extension C6 Radial Nerve
Fingers Flexion C8 Median Nerve
Fingers Abduction T1 Ulnar Nerve
Hip Flexion L2 Nerve to Psoas
Hip Extension S1 Inferior Gluteal

Radial Nerve Wrist ... Extension C6 Radial ... to Psoas Hip Extension ... Tibial Nerve Knee Extension ... #MuscleGroups #MSK

$Amsterdam Wrist Rules Rules that dictate which patients require imaging based on the likelihood of wrist fracture$

Amsterdam Wrist ... likelihood of wrist ... a patient with wrist ... Painful balottement test ... fracture #radiology #msk

The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability.
With the wrist flexed,

With the wrist flexed ... resists finger extension ... dorsum of the wrist ... Instability #Hand #Wrist ... video #sports #msk

Maudsley's Test for Lateral Epicondylitis ("Tennis Elbow")

With the wrist prone, the patient attempts extension of the

Maudsley's Test ... ") With the wrist ... patient attempts extension ... movement stresses the extensor ... #physicalexam #msk

Maudsley's Test for Lateral Epicondylitis ("Tennis Elbow")

With the wrist prone, resist extension of the 3rd digit,

Maudsley's Test ... ") With the wrist ... prone, resist extension ... movement stresses the extensor ... #physicalexam #msk

Spurling's Test for Cervical Nerve Root Compression

With the neck in slight extension, ipsilateral flexion and rotation,

Spurling's Test ... neck in slight extension ... The test is positive ... #Spurlings #Test ... #physicalexam #msk

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